Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

KIT TESSYS ACCESS #2

Facility

$3,360.00

Hospital Charge Code	270647009
Hospital Revenue Code	272
Min. Negotiated Rate	$504.00
Max. Negotiated Rate	$504.00
Rate for Payer: Qualcare PPO/HMO/WC	$504.00

KIT TESSYS ACCESS #2

Facility

$3,360.00

Hospital Charge Code	270647009
Hospital Revenue Code	272
Min. Negotiated Rate	$95.42
Max. Negotiated Rate	$1,680.00
Rate for Payer: Aetna Commercial	$1,276.80
Rate for Payer: Aetna Medicare Advantage	$1,008.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$856.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$856.80
Rate for Payer: Cigna Commercial	$1,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$873.60
Rate for Payer: Oxford Commercial	$672.00
Rate for Payer: Qualcare PPO/HMO/WC	$504.00
Rate for Payer: UnitedHealthcare Commercial	$672.00
Rate for Payer: UnitedHealthcare Community & State	$106.18
Rate for Payer: Wellpoint Medicaid Managed Care	$95.42

KIT TIBIA CR SZ 2

Facility

$1,750.00

Hospital Charge Code	270700540
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

KIT TIBIA CR SZ 2

Facility

$1,750.00

Hospital Charge Code	270700540
Hospital Revenue Code	272
Min. Negotiated Rate	$49.70
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$55.30
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

KIT TIGHTROPE 8.5 MM FLIPCUT I

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270682535
Hospital Revenue Code	278
Min. Negotiated Rate	$98.69
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Community & State	$109.81
Rate for Payer: Wellpoint Medicaid Managed Care	$98.69

KIT TIGHTROPE 8.5 MM FLIPCUT I

Facility

$3,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270682535
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

KIT TIGHTROPE DUAL

Facility

$11,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270683592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,762.50
Max. Negotiated Rate	$2,843.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,843.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,762.50

KIT TIGHTROPE DUAL

Facility

$11,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270683592
Hospital Revenue Code	278
Min. Negotiated Rate	$333.70
Max. Negotiated Rate	$5,875.00
Rate for Payer: Aetna Commercial	$4,465.00
Rate for Payer: Aetna Medicare Advantage	$3,525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,996.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,996.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,996.25
Rate for Payer: Cigna Commercial	$5,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,843.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,762.50
Rate for Payer: UnitedHealthcare Community & State	$371.30
Rate for Payer: Wellpoint Medicaid Managed Care	$333.70

KIT TRACH CARE W/NACL BULLETS

Facility

$43.89

Hospital Charge Code	270608338
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$21.95
Rate for Payer: Aetna Commercial	$16.68
Rate for Payer: Aetna Medicare Advantage	$13.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.19
Rate for Payer: Cigna Commercial	$21.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.41
Rate for Payer: Oxford Commercial	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$6.58
Rate for Payer: UnitedHealthcare Commercial	$8.78
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

KIT TRACH CARE W/NACL BULLETS

Facility

$43.89

Hospital Charge Code	270608338
Hospital Revenue Code	272
Min. Negotiated Rate	$6.58
Max. Negotiated Rate	$6.58
Rate for Payer: Qualcare PPO/HMO/WC	$6.58

KIT TRANSPAC MONITORING

Facility

$54.90

Hospital Charge Code	270110096
Hospital Revenue Code	270
Min. Negotiated Rate	$8.23
Max. Negotiated Rate	$8.23
Rate for Payer: Qualcare PPO/HMO/WC	$8.23

KIT TRANSPAC MONITORING

Facility

$54.90

Hospital Charge Code	270110096
Hospital Revenue Code	270
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$27.45
Rate for Payer: Aetna Commercial	$20.86
Rate for Payer: Aetna Medicare Advantage	$16.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.00
Rate for Payer: Cigna Commercial	$27.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.27
Rate for Payer: Oxford Commercial	$10.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.23
Rate for Payer: UnitedHealthcare Commercial	$10.98
Rate for Payer: UnitedHealthcare Community & State	$1.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.56

KIT TRANSVENOUS PACING

Facility

$686.20

Hospital Charge Code	270616215
Hospital Revenue Code	272
Min. Negotiated Rate	$19.49
Max. Negotiated Rate	$343.10
Rate for Payer: Aetna Commercial	$260.76
Rate for Payer: Aetna Medicare Advantage	$205.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.98
Rate for Payer: Cigna Commercial	$343.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.41
Rate for Payer: Oxford Commercial	$137.24
Rate for Payer: Qualcare PPO/HMO/WC	$102.93
Rate for Payer: UnitedHealthcare Commercial	$137.24
Rate for Payer: UnitedHealthcare Community & State	$21.68
Rate for Payer: Wellpoint Medicaid Managed Care	$19.49

KIT TRANSVENOUS PACING

Facility

$686.20

Hospital Charge Code	270616215
Hospital Revenue Code	272
Min. Negotiated Rate	$102.93
Max. Negotiated Rate	$102.93
Rate for Payer: Qualcare PPO/HMO/WC	$102.93

KIT TUMOR ABLATION STAR

Facility

$19,475.00

Hospital Charge Code	270670691
Hospital Revenue Code	272
Min. Negotiated Rate	$553.09
Max. Negotiated Rate	$9,737.50
Rate for Payer: Aetna Commercial	$7,400.50
Rate for Payer: Aetna Medicare Advantage	$5,842.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,966.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,966.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,966.12
Rate for Payer: Cigna Commercial	$9,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,063.50
Rate for Payer: Oxford Commercial	$3,895.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,921.25
Rate for Payer: UnitedHealthcare Commercial	$3,895.00
Rate for Payer: UnitedHealthcare Community & State	$615.41
Rate for Payer: Wellpoint Medicaid Managed Care	$553.09

KIT TUMOR ABLATION STAR

Facility

$19,475.00

Hospital Charge Code	270670691
Hospital Revenue Code	272
Min. Negotiated Rate	$2,921.25
Max. Negotiated Rate	$2,921.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,921.25

KIT ULTRA DRIVE IMPLANTATION

Facility

$8,450.00

Hospital Charge Code	270695353
Hospital Revenue Code	272
Min. Negotiated Rate	$1,267.50
Max. Negotiated Rate	$1,267.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,267.50

KIT ULTRA DRIVE IMPLANTATION

Facility

$8,450.00

Hospital Charge Code	270695353
Hospital Revenue Code	272
Min. Negotiated Rate	$239.98
Max. Negotiated Rate	$4,225.00
Rate for Payer: Aetna Commercial	$3,211.00
Rate for Payer: Aetna Medicare Advantage	$2,535.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,154.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,154.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,154.75
Rate for Payer: Cigna Commercial	$4,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,197.00
Rate for Payer: Oxford Commercial	$1,690.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,267.50
Rate for Payer: UnitedHealthcare Commercial	$1,690.00
Rate for Payer: UnitedHealthcare Community & State	$267.02
Rate for Payer: Wellpoint Medicaid Managed Care	$239.98

KIT UROSTOMY 2-3/4 70MM POST

Facility

$14.62

Hospital Charge Code	270654222
Hospital Revenue Code	272
Min. Negotiated Rate	$2.19
Max. Negotiated Rate	$2.19
Rate for Payer: Qualcare PPO/HMO/WC	$2.19

KIT UROSTOMY 2-3/4 70MM POST

Facility

$14.62

Hospital Charge Code	270654222
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$7.31
Rate for Payer: Aetna Commercial	$5.56
Rate for Payer: Aetna Medicare Advantage	$4.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.73
Rate for Payer: Cigna Commercial	$7.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.80
Rate for Payer: Oxford Commercial	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.19
Rate for Payer: UnitedHealthcare Commercial	$2.92
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

KIT VENTRICULOSTOMY

Facility

$1,530.00

Service Code	HCPCS C1729
Hospital Charge Code	270600327S
Hospital Revenue Code	278
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

KIT VENTRICULOSTOMY

Facility

$1,530.00

Hospital Charge Code	270600327
Hospital Revenue Code	278
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

KIT VENTRICULOSTOMY

Facility

$1,530.00

Hospital Charge Code	270600327
Hospital Revenue Code	278
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$581.40
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Community & State	$48.35
Rate for Payer: Wellpoint Medicaid Managed Care	$43.45

KIT VENTRICULOSTOMY

Facility

$1,530.00

Service Code	HCPCS C1729
Hospital Charge Code	270600327S
Hospital Revenue Code	278
Min. Negotiated Rate	$43.45
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$581.40
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Community & State	$48.35
Rate for Payer: Wellpoint Medicaid Managed Care	$43.45

KIT VERTIFLEX SUPERION VIP

Facility

$1,500.00

Service Code	HCPCS A4649
Hospital Charge Code	270698878
Hospital Revenue Code	272
Min. Negotiated Rate	$42.60
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$47.40
Rate for Payer: Wellpoint Medicaid Managed Care	$42.60

Know your out-of-pocket cost for care.

All Charges